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The Great ObamaCare Debate, Part 237: Back to Court The Great ObamaCare Debate, Part 237: Back to Court

03-06-2017 , 07:53 PM
Quote:
Originally Posted by Riverman
looooooolllllll

the initial house GOP draft eliminates the individual mandate and subsidies

what could go wrong?
Incredibly, uh, only sort of on the mandate. Instead of a tax penalty you pay each April to the government,



A ****ing 30% surcharge to the insurance companies! This is ****ing Snidely Whiplash ****.
03-06-2017 , 07:54 PM
lololol the "Patient and State Stability Fund" is $15 billion in 2018 and 2019, then drops all the way to $10 million
03-06-2017 , 08:11 PM
Quote:
Originally Posted by FlyWf
Incredibly, uh, only sort of on the mandate. Instead of a tax penalty you pay each April to the government,



A ****ing 30% surcharge to the insurance companies! This is ****ing Snidely Whiplash ****.
Surcharge seems fair enough to me tbh if they are going to require insurance companies to cover pre-existing conditions. Could be wrong as this **** is insanely complicated but assume the Obamacare tax ended up in the pockets of insurance companies one way or another. The amount charged to "freeloaders" NEEDS to go back to insurance companies or else everyone else pays for them. Getting rid of the tax and allowing the surcharge seems to be just cutting out the middleman and maybe getting to the same result in a way that appeals to "freedom lovers."

Quote:
Originally Posted by lycosid
lololol the "Patient and State Stability Fund" is $15 billion in 2018 and 2019, then drops all the way to $10 million
This OTOH is some BULL****.
03-06-2017 , 08:30 PM
The surcharge just means if you have to drop coverage you should literally never get back on under an circumstance short of imminent hospitalization.
03-06-2017 , 08:36 PM
Benefit caps are back baby!
03-06-2017 , 08:39 PM


lol, who could have possibly seen it coming?
03-06-2017 , 08:40 PM


Contact your bank OLDS
03-06-2017 , 08:47 PM
Imagine the squeal of delight the first time someone showed that chart to Paul Ryan.
03-06-2017 , 08:47 PM
repealing obamacare has always been -- in large part, anyway -- about repealing that 3.8 investment tax, by the way. it's a significant tax on the wealthy.
03-06-2017 , 08:48 PM
The 30% penalty seems like a great way to cause death spirals. Once a healthy person has been off insurance for 2 years they have no reason to bite the bullet and pay the penalty until they get sick. Really stupid incentives. Dont understand why its in the bill when it's terrible policy and politics
03-06-2017 , 08:55 PM
Quote:
Originally Posted by Pwn_Master
Surcharge seems fair enough to me tbh if they are going to require insurance companies to cover pre-existing conditions. Could be wrong as this **** is insanely complicated but assume the Obamacare tax ended up in the pockets of insurance companies one way or another. The amount charged to "freeloaders" NEEDS to go back to insurance companies or else everyone else pays for them. Getting rid of the tax and allowing the surcharge seems to be just cutting out the middleman and maybe getting to the same result in a way that appeals to "freedom lovers."



This OTOH is some BULL****.
Quote:
Originally Posted by lycosid
The surcharge just means if you have to drop coverage you should literally never get back on under an circumstance short of imminent hospitalization.
Yea the way the incentives line up once you're off insurance there's a disincentive to get back on insurance until you absolutely need it. It's the worst of both worlds. You're getting the freedom to not have insurance, but not really because you'll get penalized if you try and get back on which means we're back to not having insurance until you have to go to the emergency room which creates the death spiral and if not a death spiral then the burden is going to be heavily on those who drop coverage because they think they're Superman which will bankrupt them which makes insurance pointless. It's one of those dumb overly complicated "libertarian" options that preserves an illusion of freedom where we expect people to be smart enough to know all the options and chose correctly but we know they won't be.

It's also bad because you're more likely to drop coverage of insurance accidentally during some kind of medical incident which will create situations of people forgetting to renew during an event, and getting charged a bazillion for their medical emergency which makes the insurance pointless.
03-06-2017 , 08:55 PM
Quote:
Originally Posted by 425kid
The 30% penalty seems like a great way to cause death spirals. Once a healthy person has been off insurance for 2 years they have no reason to bite the bullet and pay the penalty until they get sick. Really stupid incentives. Dont understand why its in the bill when it's terrible policy and politics
The Party Of Stupid came up with this bill. You're talking about a group of people who think the world is 6,000 years old, the solution to 32,000 gun deaths a year is adding to the number of guns we have, and same-sex marriage will wipe out the human race. You're surprised?
03-06-2017 , 09:01 PM
How are these changes gonna effect people who just have standard somewhat decent group health insurance through employer?
03-06-2017 , 09:03 PM
Quote:
Originally Posted by 425kid
The 30% penalty seems like a great way to cause death spirals. Once a healthy person has been off insurance for 2 years they have no reason to bite the bullet and pay the penalty until they get sick. Really stupid incentives. Dont understand why its in the bill when it's terrible policy and politics
Premiums will skyrocket as uninsured people be heavily incentivized over time to remain uninsured unless they're very sick.
03-06-2017 , 09:04 PM
Quote:
Originally Posted by Wooders0n
How are these changes gonna effect people who just have standard somewhat decent group health insurance through employer?
10-20 million of those people will lose coverage according to CBO.

https://twitter.com/TopherSpiro/stat...18597589958656
03-06-2017 , 09:07 PM
Quote:
Originally Posted by Wooders0n
How are these changes gonna effect people who just have standard somewhat decent group health insurance through employer?
I'm reading that employer sponsored coverage will now be taxed

Edit: That was wrong, it gets rid of cadillac tax

Last edited by Namath12; 03-06-2017 at 09:13 PM.
03-06-2017 , 09:11 PM
Quote:
Originally Posted by einbert
10-20 million of those people will lose coverage according to CBO.

https://twitter.com/TopherSpiro/stat...18597589958656
my god

This is somewhat hopeful

03-06-2017 , 09:13 PM
Quote:
Originally Posted by Namath12
I'm reading that employer sponsored coverage will now be taxed
If true this is both enormous news and (gasp) a potentially a good idea.
03-06-2017 , 09:28 PM
Quote:
Originally Posted by hobbes9324
Don't kid yourself. If you can't afford to go the Betty Ford route, the availabilty of any sort of inpatient detox for ANYTHING is pretty much zero.

We have one facility in town that has (I think) 16 beds. Since they have no EMTALA responsibility, they can pick and choose patients, and you need better insurance than I have to get in. Rumor has it that there's a brand name outfit opening up a 60+ bed unit next year, but they're going to be just as selective.

So the white heroin users get the same absence of services as black ones. I don't have anywhere to send either group. I can't speak to the color of their bootstraps, respectively.

MM MD
I interned at an inpatient facility that catered to low income folks and it was not even borderline criminal. Like, staff were so negligent and under skilled, and NGAF at all about clients well being or recovery. It was God ****ing awful and people at the top were 100% crooks.

I've got a lot to say about my experience with CSACs and recovery pros. Frankly it's not what I had hoped for and is just not the most professional field, at least IME working in a few different settings.

Last edited by DudeImBetter; 03-06-2017 at 09:36 PM.
03-06-2017 , 09:35 PM
Quote:
Originally Posted by Riverman
If true this is both enormous news and (gasp) a potentially a good idea.
Why is this good? Would it just incentivize employers to bargain harder? On first glance it looks like solid footing for employers cutting into salaries and/or reducing coverage to stay under the limit?
03-06-2017 , 09:37 PM
Hey man there are winners and losers in all legislation

03-06-2017 , 09:39 PM
Quote:
Originally Posted by ymmv
Why is this good? Would it just incentivize employers to bargain harder? On first glance it looks like solid footing for employers cutting into salaries and/or reducing coverage to stay under the limit?
It would be good in the sense that it helps spread the costs around, plus there's the whole issue of fairness if you're into that ie health benefits are only not income because we don't call them income (there's no question that it's a form of compensation, though)

But whatever I read the tweet wrong and they're actually eliminating the tax on cadillac plans altogether
03-06-2017 , 09:40 PM
Quote:
Originally Posted by ymmv
Why is this good? Would it just incentivize employers to bargain harder? On first glance it looks like solid footing for employers cutting into salaries and/or reducing coverage to stay under the limit?
In the abstract, economists would love to see the tax credit that employers get for healthcare to go away. It depresses wages, is inefficient and ties healthcare to employment. "Taxing" employers' health insurance is just another way of reducing the tax credit.

Last edited by Huehuecoyotl; 03-06-2017 at 10:03 PM.
03-06-2017 , 09:53 PM
You know, for a moment there I thought that the guy who wanted to split up families that cross the border was the most evil thing I'd hear about today.
03-06-2017 , 10:27 PM


https://mobile.twitter.com/Mikel_Jol...33295354171393

      
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